| NPI | 1235408444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NITTA MATHEW Speech Language Pathologist 718-710-6063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 020724-1) |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2011-12-16 |